| NPI | 1710195474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM219) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD LGM016) |
| 163W00000X Registered Nurse (Licence: MD R109342) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-11-18 |